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Muhannad Antoun, M.D

Internal Medicine, Pulmonary Disease in Wyandotte, MI. Individual provider (NPI-1).

NPI number1619266319
StatusActive
Last updated in NPPESSep 21, 2023

Details

NPI
1619266319
Entity type
Individual (NPI-1)
Name
Muhannad Antoun
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2011
Certification date
Sep 21, 2023
Last updated
Sep 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary Disease4301503853MIYes
207R00000X Internal Medicine4301503853MI
207RI0200X Internal Medicine, Infectious Disease4301503853MI
2471C1106X Radiologic Technologist, Cardiac-Interventional Technology4301503853MI
207LC0200X Anesthesiology, Critical Care Medicine4301503853MI

Practice location

2333 Biddle Avenue
Wyandotte, MI 48192-9458

Phone 734-246-6000

Mailing address

1 Ford Pl Ste 3a
Detroit, MI 48202

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